Provider Demographics
NPI:1285006072
Name:PEREIRA MORALES, LUIS STEVE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:STEVE
Last Name:PEREIRA MORALES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:LUIS
Other - Middle Name:STEVE
Other - Last Name:PEREIRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 BROOKDALE PLZ
Mailing Address - Street 2:L-29
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3139
Mailing Address - Country:US
Mailing Address - Phone:718-240-5480
Mailing Address - Fax:
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:L-29
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3139
Practice Address - Country:US
Practice Address - Phone:718-240-5480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist